With over 15 years experience and excellent references we have been providing professional electronic medical billing services to medical practices. With our personal one on one approach to working with our clients we make sure we build a great working relationship. We strive to provide excellent client and patient customer service. Insurance benefits and billing can be confusing, let our medical billing specialists help maximize your patient’s benefits and bill your claims giving more time for patient care.
We are HIPAA compliant and we strive to make sure your data is kept safe and secure. Please contact us with any questions or medical billing request you may have.
For more detailed information on the services below please scroll down the page. If you have any questions regarding one of the services below please contact us for more information.
- Benefit Verification
- Prior Authorization
- Authorization Reports
- Authorization Management
- Claims Follow Up/Resolution
- Patient Statements
- Credentialing Assistance
- Practice Marketing
- Office Forms
- Past Due Accounts/Unresolved Claims
- Consulting Services
- HIPAA Compliant
- Monthly Reports to Provider
- Posting Insurance Payments, Cash Payments, and Adjustments
Claims are submitted electronically on a weekly or monthly basis depending on provider preference.
Insurance verification is obtained for new and current patient’s that have insurance changes. Information obtained includes: Copay, Coinsurance, Deductible, Number of Visits Allowed, Authorization Requirements, Allowable CPT Codes and any other conditions of the policy. This information is then reported back to you making you aware of any amounts due by the patient at the time of service.
If allowed by the insurance carrier and authorized by the providers office this will be secured at the time of Benefit Verification.
Authorization reports are sent out on a weekly or monthly basis depending on how often you choose the billing to be sent. The report includes patient name, insurance, authorization number, number of visits authorized or allowed, start date, and end date. This report will include all patients, allowing you to see not only those that needed authorization but any that may have a limited amount of visits per year as well. This will help save time and money by knowing how many sessions have been used and what is left preventing run over.
We will alert you when authorized sessions are ending.
Need more sessions?
Let us call or help submit the necessary forms to make this request. (To save time forms can be filled out to the best of our knowledge based on information provided by your office and then sent to you for review, completion, and signature).
We can also follow up on already submitted requests.
Claims Follow Up/Resolution
Aging reports are run once a month and outstanding balances are followed up on. Let us do the timely investigating on those hard to get paid claims.
Patient statements are sent out monthly. We can also generate statements at the patients request if needed for a Health Savings Account etc…
Patients are free to call with any questions regarding their account or insurance coverage. We are here to help and want to make sure that patients are maximizing their benefits and keeping their amount due to a minimum.
Have a question for the insurance companies? Let us call; we will spend the time tracking down the answers or applications allowing more clinical time with your patients. Applications will be filled out based on the information you have provided and then sent to you for review, completion and signature. We can help with re-credentialing also.
Interested in marketing your business. We also create the materials you need. Such as; Brochures, postcards, business cards, websites etc… (Additional Fee Applies)
Need simple straightforward forms for your office? We can help including customized billing forms. (Additional Fee Applies)
Past Due Accounts and Unresolved Claims
Handling overdue patient accounts or claims from dates prior to account start date will be separate from the regular billing agreement. Overdue accounts take more time and are harder to get paid.
We will send Collection letters out on overdue accounts at your discretion and we can provide information to a Collection Agency if you choose to obtain one.
Training of office staff, Electronic Billing Setup, Flow of work in your office, Office Forms, HIPAA Compliance, Fee Schedules. (Additional Fee Applies)
All information obtained is only used for the purpose intended and is kept secure and private. We will provide you with a Business Associate Agreement (Privacy Agreement for Personal Health Information).
Monthly Reports to Provider
Aging reports on a monthly basis can be sent to the provider at their request.
Posting Insurance Payments, Cash Payments, and Adjustments
All checks will come directly to you. The insurance voucher is then forwarded to us by fax. (payment or rejections) We then will study the Explanation of Benefits (voucher) to make sure the correct payment has been made. The payments are then entered into the appropriate accounts and sent to the secondary payer if applicable. If there is an error in payment we will investigate immediately to obtain a correction or explanation.